NYC Middle School Basketball League

NYCMiddle School Basketball League

NYCMSBL PLAYER INFORMATION

This form provides coaches, referees and league officials information on each player in the league. This form is also a disclaimer for any and all liability during the season from players, parents, schools and coaches. This information is for league purposes only. *Each section must be signed & filed with the league*(Please Print)

Name ______Date of Birth ______

Address Parent’s Email______

School # ______Borough______Grade ______Class ______

Parent/Guardian ______Telephone # ______Cell# ______

I ______(parent’s name) allow my child ______(child’s name) to participate/play in the NYC Middle School Basketball League for the upcoming 2014-2015 season. I accept full responsibility for my child if they are injured during a practice, game, and transportation to and from a game or any other team/league functions.

Parent/Guardian’s Signature ______Date ______

NYCMSBL AWAY TRAVEL FORM

This form is to obtain parent/guardian permission for each child to travel to away basketball games during the 2014-2015 season. A signed completed form will cover parent consent for the entire season. Players will be under the supervision of their coach for the entire time while the team is traveling to and from the away game. Parents need to make all the arrangements home (if needed) for children if they ride the school bus. Otherwise they can walk home by themselves.

I ______(parent’s name) understand and agree to the “Away Travel Form” as described above and allow my child ______(child’s name) to attend all away games during the 2014-2015 NYC Middle School basketball season.

Parent/Guardian’s Signature ______Date ______

NYCMSBL VIDEO/PHOTOGRAPHY CONSENT FORM

This form is to protect any child’s image or likeness on video, DVD or photographs from being exploited in any way. A signed completed form will cover parent consent and concerns over the entire season (which runs from December to April). The leagueONLY mayuse these images for instructional and promotional purposes for the league as well as to investigate incidents during the season (if necessary). The league is not responsible for any unauthorized use of images or information on the league web-site.

I ______(parent’s name) understand and agree to the “Video/Photography Consent” as described above and allow my child ______(child’s name) to be video recorded and/or photographed for the purposes in that description during the 2014-2015 NYCMSBL season.

Parent/Guardian’s Signature ______Date ______